title: Association between treatment or usual care region and hospitalization for fall-related traumatic brain injury in the Connecticut Collaboration for Fall Prevention.
abstract: OBJECTIVE
  To evaluate the association between the treatment region (TR) or usual care region (UCR) of the Connecticut Collaboration for Fall Prevention (CCFP), a clinical intervention for prevention of falls, and the rate of hospitalization for fall-related traumatic brain injury (FR-TBI) in persons aged 70 and older and to describe the Medicare charges for FR-TBI hospitalizations.
  
  
  METHODS
  Using a quasi-experimental design, rates of hospitalization for FR-TBI were recorded over an 8-year period (2000-2007) in two distinct geographic regions (TR and UCR) chosen for their similarity in characteristics associated with occurrence of falls.
  
  
  METHODS
  Two geographical regions in Connecticut.
  
  
  METHODS
  More than 200,000 persons aged 70 and older.
  
  
  METHODS
  Clinicians in the TR translated research protocols from the Yale Frailty and Injuries: Cooperative Studies of Intervention Techniques, a successful fall-prevention randomized clinical trial, into discipline- and site-specific fall-prevention procedures for integration into their clinical practices.
  
  
  METHODS
  Rate of hospitalization for FR-TBI in persons aged 70 and older.
  
  
  RESULTS
  Connecticut Collaboration for Fall Prevention's TR exhibited lower rates of hospitalization for FR-TBI than the UCR (risk ratio = 0.84, 95% credible interval = 0.72-0.99).
  
  
  CONCLUSIONS
  The significantly lower rate of hospitalization for FR-TBI in CCFP's TR suggests that the engagement of practicing clinicians in the implementation of evidence-based fall-prevention practices may reduce hospitalizations for FR-TBI.
authors.affiliation: Section of Geriatrics, Department of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut.
authors.forename: Terrence E
authors.initials: TE
authors.lastname: Murphy
authors.forename: Dorothy I
authors.initials: DI
authors.lastname: Baker
authors.forename: Linda S
authors.initials: LS
authors.lastname: Leo-Summers
authors.forename: Heather G
authors.initials: HG
authors.lastname: Allore
authors.forename: Mary E
authors.initials: ME
authors.lastname: Tinetti
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000368:Aged; D001930:Brain Injuries / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D003237:Connecticut / Q000453:epidemiology; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D012189:Retrospective Studies
keywords: Bayesian; Connecticut Collaboration for Fall Prevention; fall-related traumatic brain injury; hospitalization; spatial model